Author/Authors :
Kelleci, Meral Cumhuriyet University - Faculty of Health Science - Nursing Department, Turkey , Gölbaşı, Zehra Cumhuriyet University - Faculty of Health Science - Nursing Department, Turkey , Çelik, Selda Istanbul University - Istanbul Faculty of Medicine - Division of Endocrinology and Metabolism, Turkey , Aydemir, Eylem Cumhuriyet University - Faculty of Science - Statistics Department, Turkey
Abstract :
Objektive: The purpose of this study was to examine correlates and depression among married women with Type II diabetes attended the diabetes outpatient clinic. We studied depression in women with Type II diabetes in relation to their demographic, medical and biochemical characteristics. Method:The study sample included 351 women with Type II diabetes who presented to the diabetes outpatient clinic, were married, had no psychiatric diagnosis, and agreed to participate in the study. Their depression status was assessed with the General Health Questionnaire-28 (GHQ-28). The data on biochemical test results (fasting blood glucose, HbA1c, total triglycerides, total cholesterol, LDL, HDL), socio-demographic and disease characteristics were obtained from the patients’ medical records or through interviews held with the patients. Results: Of the participants 42.7% were found to be at a greater risk for depression. The logistic regression analysis revealed that the participants having three or more children were at risk of depression 1.848 times more than were those having two or fewer children (95% CI: 1135-3009, p 0.05). Depression risk was also higher in those married to a husband with primary school or lower education [0.471 times (95% CI: .279- .794, p 0.05)], having insulin treatment [0.528 times (95% CI: .317-.879, p 0.05)], having LDL levels higher than normal [2.366 times (95% CI: 1069-5238, p 0.05)], having hypertension [1.642 times (95% CI: 1012-2665, p 0.05)] and having high levels of triglycerides [0.543 times (95% Cl: .324-.909, p 0.05)]. In terms of HbA1c levels, there was no significant difference between the GHQ scores (p 0.05). Conclusions: This study revealed that nearly half of the participants with Type II diabetes were at risk of depression, and that factors such as education level, the number of the children, duration of the disease, presence of hypertension, the treatment type and some of the biochemical indicators played an important part in diabetes-related health care.
NaturalLanguageKeyword :
Depression , Correlates , Married woman , Type II diabetes
